Note: The job is a remote job and is open to candidates in USA. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Front-End Systems Analyst will be responsible for reviewing payer and regulatory updates, implementing necessary changes within technology systems, and ensuring compliance with payer portals and regulatory requirements.
Responsibilities
• Monitor, analyze, and action on relevant payer updates and regulatory changes
• Assess the implications of system updates on existing master files and operational workflows to create action items for implementing necessary changes effectively
• Collaborate with IT and operational teams to determine necessary changes and support accurate implementation
• Maintain master files in systems such as Real Time Eligibility, Real Time Authorization, eMPA, Contact Center platforms, and Health Information Systems like Epic, Cerner, etc
• Ensure timely and accurate integration of updates to maintain compliance with payer portals and regulatory standards for end-user application
• Capture updated processes and maintain records tracking system changes for audit and compliance purposes
• Participate in cross-functional initiatives through iterative meetings to communicate update status and collaborate on solutions with all parts of revenue cycle
• Support continuous improvement efforts by identifying opportunities to streamline update processes and enhance system performance across the Front-End Operations
• Manage and monitor the Insurance Plan Change report to plan and implement any necessary changes within the client host system and/or our vendor for patient financial solutions
Skills
• Legally Required License / Certification (Ex: MD, RN, LPN, etc.) ONE CERTIFICATION PER FIELD
• Ensemble Required License / Certification (Ex: CRCR) ONE CERTIFICATION PER FIELD CRCR - Certified Revenue Cycle Representative Or other approved job relevant certification
• Job Experience - Experience 3 to 5 Years
• Education - Bachelors Degree or Equivalent Experience Information Systems
• 2-4 years of experience in healthcare operations, preferably in Patient Access or Revenue Cycle Management
• Minimum of 2 years of experience in Managed Care contracting
• Familiarity with Health Information Systems, especially Epic, and understanding of system interfaces
• Ability to interpret payer and regulatory updates and assess their impact on system configurations
• Strong analytical and problem-solving skills with attention to detail
• Effective verbal and written communication skills for cross-functional collaboration
• Ability to work independently and manage multiple priorities in a remote environment
• Proficiency in documenting processes and maintaining compliance records
Benefits
• Healthcare
• Time off
• Retirement
• Well-being programs
• Professional certification
• Tuition reimbursement
• Quarterly and annual incentive programs
Company Overview
• Ensemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices. It was founded in 2014, and is headquartered in Cincinnati, Ohio, USA, with a workforce of 10001+ employees. Its website is https://ensemblehp.com.
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